Hope Project | |
157 Wall Street Tenaha TX 75974-5413 | |
(936) 248-4673 | |
(936) 248-4646 |
Full Name | Hope Project |
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Speciality | Clinic/Center |
Location | 157 Wall Street, Tenaha, Texas |
Authorized Official Name and Position | Destani Dutton (CREDENTIALING/BILLING) |
Authorized Official Contact | 9365918380 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope Project Po Box 1584 Center TX 75935-1584 Ph: (936) 591-8380 | Hope Project 157 Wall Street Tenaha TX 75974-5413 Ph: (936) 248-4673 |
NPI Number | 1124296843 |
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Provider Enumeration Date | 02/15/2008 |
Last Update Date | 06/24/2022 |
Certification Date | 06/24/2022 |
Medicare PECOS PAC ID | 2567360167 |
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Medicare Enrollment ID | O20031220000019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124296843 | NPI | - | NPPES |
190930101 | Medicaid | TX |
Provider Name | Debra E Mccarthy |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1104877901 PECOS PAC ID: 0446351647 Enrollment ID: I20070718000191 |
Provider Name | Keith Edward Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396757613 PECOS PAC ID: 8527149103 Enrollment ID: I20100928001297 |
Provider Name | Timothy R Magness |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134464308 PECOS PAC ID: 5799921631 Enrollment ID: I20130418000409 |
Provider Name | Rebecca Griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902155385 PECOS PAC ID: 6507007804 Enrollment ID: I20130730000173 |
Provider Name | Jie Xu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154731305 PECOS PAC ID: 9335420256 Enrollment ID: I20170106001098 |
Provider Name | Emily D Dunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326598814 PECOS PAC ID: 0547542615 Enrollment ID: I20170125001083 |
Provider Name | David Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548612807 PECOS PAC ID: 4981986957 Enrollment ID: I20170127000041 |
Provider Name | Jodee L Naples |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194219824 PECOS PAC ID: 0446509830 Enrollment ID: I20180817001705 |
Provider Name | Emma Boles Whitehead |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821750175 PECOS PAC ID: 1456734409 Enrollment ID: I20220824000729 |
Provider Name | Alexandra Leigh Byrnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598305716 PECOS PAC ID: 3072900034 Enrollment ID: I20220920001436 |
Provider Name | Alix Claire Barr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447934120 PECOS PAC ID: 2668828534 Enrollment ID: I20231028000627 |
Provider Name | Tasha Marie Tovar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982368809 PECOS PAC ID: 7315399755 Enrollment ID: I20240122001177 |
Provider Name | Ashley Nicole Lawrence |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689994915 PECOS PAC ID: 7416396940 Enrollment ID: I20240417001712 |
New Destinations Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 649 County Road 433, Tenaha, TX 75974 Phone: 936-248-2322 |